首页|父母对青少年抑郁症患者非自杀性自伤行为心理体验的质性研究

父母对青少年抑郁症患者非自杀性自伤行为心理体验的质性研究

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目的 探讨父母对青少年抑郁症患者非自杀性自伤行为的心理感受,为制定针对性家庭干预措施提供参考.方法 对15名经历过非自杀性自伤行为的住院青少年抑郁症患者的父母进行访谈,采用Colaizzi 7步分析法分析、归纳、提炼主题.结果 青少年抑郁症患者父母对孩子非自杀性自伤行为的心理体验归纳为5个主题:自伤前部分重心聚焦工作,忽视孩子情感需求;暴露初期言语过激无法自己,抱怨自责情感脆弱;治疗前期内心焦虑思绪徘徊,害怕暴露不愿求医;治疗期无奈降低自身期望,努力改变迎合孩子;恢复期思想矛盾决择困难,担心孩子未来成长.结论 青少年抑郁症患者父母对孩子非自杀性自伤行为心理体验复杂,家庭因素对青少年的行为有重要影响,应引导父母给孩子提供正确的家庭支持.
Parents'psychological experience of non-suicidal self injury behavior in adolescents with depression:a qualitative study
Objective To explore parents'psychological experience of non-suicidal self injury(NSSI)behaviors in adolescents with de-pression,and to provide a reference for developing targeted family intervention measures.Methods The parents of 15 hospitalized adolescents with depression who had experienced NSSI behaviors were interviewed,and the themes were analyzed,summarized and refined by the Colaizzi's 7-step analysis.Results The parents'psychological experience of NSSI behaviors in adolescents with depres-sion were summarized into five themes:before self-injury,some of them focused on their work and ignored their children's emo-tional needs;at the initial stage of exposure,they were unable to control themselves to speak excessively,and complained,felt self-blame and emotional fragile;at the early stage of treatment,they were anxious and wandering,afraid of being exposed and un-willing to seek medical treatment;at the stage of treatment,they had no choice but to lower their own expectations and tried hard to make changes to cater for their children;and at the stage of recovery,their thoughts were contradictory,they had difficulty in making a decision,and worried about the children's future growth at the same time.Conclusion Parents of adolescents with depres-sion have complicated psychological experience of their children's NSSI behaviors,and family factors have an important influence on adolescents'behavior,so parents should be guided to provide correct family support to their children.

non-suicidal self injuryadolescentdepressionparentspsychological experiencequalitative researchfa-mily carepsychological health

高月红、徐旭娟、丁雅琴、李红娇

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南通市第四人民医院护理部(江苏南通,226005)

南通大学附属医院护理研究所

南通大学公共卫生学院

非自杀性自伤 青少年 抑郁症 父母 心理体验 质性研究 家庭护理 心理健康

南通市卫生健康委员会科研课题(指令性)南通市社会民生科技计划指令性课题

MS2022080MS2023023

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(13)